NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
364416436
|
2012-10-15
|
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472470187
|
Plan sponsor’s
address |
1880 WEST WINCHESTER ROAD,SUITE 201, 1, LIBERTYVILLE, IL, 60048
|
Plan administrator’s name and address
Administrator’s EIN |
364416436 |
Plan administrator’s name |
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C. |
Plan administrator’s
address |
1880 WEST WINCHESTER ROAD,SUITE 201, 1, LIBERTYVILLE, IL, 60048 |
Administrator’s telephone number |
8472470187 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JEN GRIMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
JEN GRIMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
364416436
|
2011-09-23
|
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472470187
|
Plan sponsor’s
address |
1880 WEST WINCHESTER ROAD, SUITE 201, LIBERTYVILLE, IL, 60048
|
Plan administrator’s name and address
Administrator’s EIN |
364416436 |
Plan administrator’s name |
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C. |
Plan administrator’s
address |
1880 WEST WINCHESTER ROAD, SUITE 201, LIBERTYVILLE, IL, 60048 |
Administrator’s telephone number |
8472470187 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
JEN GRIMES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
364416436
|
2010-06-15
|
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8472470187
|
Plan sponsor’s
address |
1880 WEST WINCHESTER ROAD, SUITE 201, LIBERTYVILLE, IL, 60048
|
Plan administrator’s name and address
Administrator’s EIN |
364416436 |
Plan administrator’s name |
NORTHSHORE CENTER FOR GASTROENTEROLOGY, S.C. |
Plan administrator’s
address |
1880 WEST WINCHESTER ROAD, SUITE 201, LIBERTYVILLE, IL, 60048 |
Administrator’s telephone number |
8472470187 |
Signature of
Role |
Plan administrator |
Date |
2010-06-15 |
Name of individual signing |
ELIZABETH SZOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|